[1]赵永斌,胡卫列,吕军,等.输尿管镜钬激光碎石术中并发输尿管穿孔原因及对策[J].中华腔镜泌尿外科杂志(电子版),2008,(01):45-48.
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输尿管镜钬激光碎石术中并发输尿管穿孔原因及对策()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2008年01期
页码:
45-48
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Cause and Treatment of Ureteral Perforation Complicated with Ureteroscopic Ho: YAG Laser Lithotripsy
作者:
赵永斌; 胡卫列; 吕军; 邓志雄; 曹启友; 邱晓拂; 张利朝; 杨菁华; 肖远松
广州军区广州总医院泌尿外科,510010
关键词:
输尿管结石; 碎石术; 钬激光; 穿孔
摘要:
目的 探讨输尿管镜钬激光治疗输尿管结石并发输尿管穿孔的原因及防治方法.方法 回顾性分析2004年8月至2006年12月经尿道输尿管镜钬激光碎石术268例中25例并发输尿管穿孔的临床资料.男14例,女11例;结石单发者21例,多发者4例;上段结石18例,下段结石7例;结石直径1.2～3.2 cm,平均(1.8±0.5)cm,25例均合并输尿管息肉及中、重度肾盂积水.术后常规放置双J管4～8周.结果 25例输尿管镜手术时间15～70 min,平均(40.4±1 8.3)min.11例一次性碎石成功,6例术中改开放取石治疗,8例结石上移至肾盂内,1周后予以体外冲击波碎石治疗.结论 输尿管结石合并息肉是输尿管镜钬激光碎石致输尿管穿孔的主要原因之一,术中轻巧操作是预防出现输尿管穿孔的关键,早期及时开入手术可以避免严重并发症的发生.

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更新日期/Last Update: 1900-01-01